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1740555457
SANDRA LEE BIRCH
JACKSONVILLE, FL
NPI
1740555457
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Former Name
SANDRA L WELCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: FL EIN 43-208618)
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
Mrs. SANDRA LEE BIRCH
313 BROOKCHASE LN W
JACKSONVILLE, FL 32225-6215
Phone number: 904-476-9298
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Mailing Address
Mrs. SANDRA LEE BIRCH
313 BROOKCHASE LN W
JACKSONVILLE, FL 32225-6215
Phone number: 904-476-9298
Copy
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